Routine inspection·June 3, 2025

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced required annual visit. LPA met with Kevin Rodriguez, Caregiver, and explained the reason for the visit. Assistant Administrator, Maria Tavarez, arrived thereafter and assisted with the visit. Ricardo Banos, Administrator, was contacted telephonically and was also informed regarding the reason for the visit. The facility is licensed to serve 4 non-ambulatory developmentally disabled elderly residents ages (60) and above. Hospice Waiver for (2) residents in place. The facility is operating within the scope of its license. Residents receive services through the Harbor Regional Center. The facility is in a residential area of Lakewood, CA. During the visit, LPA toured the facility's indoor and outdoor environment and reviewed (4) resident and (3) staff files. Resident medication was also reviewed The facility is a single-story house which consists of: living room, dining area, kitchen, (4) resident bedrooms, (2) bathrooms, office area, activity room, laundry area in the garage, backyard/outdoor patio, and attached garage. During today’s visit, LPA observed the following: Facility was observed to be clean and maintained. Walkways around perimeter of facility are clear of obstructions. Living room furniture is clean and in good repair. There is sufficient seating for residents in care. Fire place was observed to be covered and inaccessible to residents. ****Continues on LIC 809-C Sufficient supply of 2 day perishable and 7 day non-perishable food was observed. Food is labeled and kept within expiration limits. Pantry was observed stocked and dry food transferred to "Easy Pour" containers is dated and identified by its content. Current menu observed posted in the kitchen. Sufficient resh fruit observed in the dining area. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and mattress pads. There is a closet in the hallway with extra clean linen, towels, and personal hygiene items for clients. Resident bedrooms are equipped with motion sensors connected to a main dock for staff to monitor. Two full bathrooms were inspected and were observed clean and sanitary. Showers have grab bars and anti-slip mats. The water temperature was tested in both bathrooms and measured within the required 105 - 120 degrees F. Interconnected, combination smoke/carbon monoxide detectors were observed throughout the facility and were tested and observed to be working properly. There is one fire extinguisher located in the kitchen which was observed to be charged. Lasts fire extinguisher inspection was conducted on 3/5/25. Drills are conduced monthly. Last fire/safety drill was conducted on 6/1/25/25. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed. Food is labeled and kept within expiration limits. Current menu is posted in the kitchen. Sufficient fresh fruit observed in the dining area. Pantry was observed and "Easy Pour" containers were dated and labeled to identify contents. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Beds have the required linen and mattress pads. There is a closet in the hallway with extra clean linen, towels, and personal hygiene items for residents. Bedrooms are equipped with motion sensors which were tested and working properly. Two full bathrooms were inspected and were observed clean and sanitary. Showers have grab bars and anti-slip mats in place. The water temperature was tested in both bathrooms and measured 111.3 degrees within the required 105 - 120 degrees F. Interconnected, combination smoke/carbon monoxide detectors were observed throughout the facility and were tested and observed to be working properly. There is one fire extinguisher located in the kitchen which was observed to be charged. Lasts fire extinguisher inspection was conducted on 3/25/25. Drills are conduced monthly. Last fire/safety drill was conducted on 6/1/25. Doors leading out of the facility are equipped with alert chimes which were tested and working properly. The front and backyard are well maintained and there are no pools or large bodies of water. There is a seating area accessible to residents, located in the backyard patio. Patio umbrella is used for shade. Patio furniture is in good repair and there is enough seating for residents. Garage was observed clean and free of clutter. Laundry area is located in the garage. Detergents are kept locked and inaccessible to residents. Washer and dryer were observed in good repair and working during visit. Ramps, passageways and exits are free of obstruction. ****Continues on LIC 809-C Medication is centrally stored and locked in cabinet. Resident medication was reviewed and observed to be dispensed and documented accordingly. Four (4) resident and (3) staff files were reviewed and contained relevant documentation. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies are cited today. Exit interview conducted with Maria Tavarez, Assistant Administrator and a copy of the report was provided.